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Ssm Healthcare Of Oklahoma, INC

Internal Medicine, Hematology & Oncology in Edmond, OK. Organization (NPI-2).

NPI number1467967604
StatusActive
Last updated in NPPESDec 11, 2017

Details

NPI
1467967604
Entity type
Organization (NPI-2)
Legal business name
Ssm Healthcare Of Oklahoma, INC
Organization subpart
No
Enumeration date
Dec 11, 2017
Last updated
Dec 11, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology–OKYes

Other names

  • St Anthony Cancer Specialists Of Oklahoma @ Edmond (Doing Business As)

Practice location

9 N Bryant Ave
Edmond, OK 73034-6307

Phone 405-285-4011 · Fax 405-285-0096

Mailing address

9 N Bryant Ave
Edmond, OK 73034-6307

Phone 405-285-4011 · Fax 405-285-0096

Authorized official

Crystal L Pena
Insurance Credentialing Specialist
4052727452

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Hematology & Oncology Physician providers in Edmond, OK

All 5 Hematology & Oncology Physician providers in Edmond · All 5,217 providers in Edmond

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